Surgical therapy for hemorrhagic stroke
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1. immediate evacuation of hematoma
Hyperperfusion syndrome signs and symptoms
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, 1. severe temporal headache
2. hypertension
3. seizures
4. neurologic deficits
How is memory affected in left hemisphere stroke compared to right hemisphere
stroke?
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LEFT:
1. possible deficit
RIGHT:
1. disorientation to person, place, time
2. inability to recognize faces
Which side should a stroke patient be lifted from?
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NEVER THE AFFECTED SIDE
Effect of stroke on elimination
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, urinary and bowel elimination common, but usually temporary - good
prognosis when stroke effects only one hemisphere.
If cause of stroke is cardiac, you may see these alterations in ECG.
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1. inverted T wave
2. ST depression
3. QT prolongation
*A-fib
A client returns from the postanesthesia care unit (PACU) after a craniotomy for
removal of a left parietal lobe tumor. How will the nurse position the client after
surgery?
A. Flex the client's knees to decrease intra-abdominal pressure and cerebral
hypertension.
B. Keep the client on the left side to prevent surgical site bleeding or cerebrospinal
fluid leakage.
C. Elevate the client's head to at least 30 degrees to promote cerebral venous
drainage.
D. Hyperextend the client's neck to maintain the airway and prevent aspiration
regardless of supine or side-lying positioning.
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Answer: C
Rationale: Elevation of the backrest allows both CSF and cerebral venous
blood to drain out of the cranium. Avoid placing a client who has
undergone a craniotomy on the operative side. Avoid hip and knee flexion
because this increases intracranial pressure, and increased intracranial
pressure from edema is common in clients after cranial surgery.
, Hyperextension of the neck will reduce CSF and venous outflow from the
cranium.
nyastagmus
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involuntary eye movmenets
Anticoagulant therapy for stroke
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1. dabigatran (pradaxa)
2. enoxaparin (lovenox)
3. herapin
4. warfarin (coumadin)
Before discharging after a carotid stent placement, the patient should be taught to
report these signs and symptoms immediately
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1. immediate evacuation of hematoma
Hyperperfusion syndrome signs and symptoms
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, 1. severe temporal headache
2. hypertension
3. seizures
4. neurologic deficits
How is memory affected in left hemisphere stroke compared to right hemisphere
stroke?
Give this one a try later!
LEFT:
1. possible deficit
RIGHT:
1. disorientation to person, place, time
2. inability to recognize faces
Which side should a stroke patient be lifted from?
Give this one a try later!
NEVER THE AFFECTED SIDE
Effect of stroke on elimination
Give this one a try later!
, urinary and bowel elimination common, but usually temporary - good
prognosis when stroke effects only one hemisphere.
If cause of stroke is cardiac, you may see these alterations in ECG.
Give this one a try later!
1. inverted T wave
2. ST depression
3. QT prolongation
*A-fib
A client returns from the postanesthesia care unit (PACU) after a craniotomy for
removal of a left parietal lobe tumor. How will the nurse position the client after
surgery?
A. Flex the client's knees to decrease intra-abdominal pressure and cerebral
hypertension.
B. Keep the client on the left side to prevent surgical site bleeding or cerebrospinal
fluid leakage.
C. Elevate the client's head to at least 30 degrees to promote cerebral venous
drainage.
D. Hyperextend the client's neck to maintain the airway and prevent aspiration
regardless of supine or side-lying positioning.
Give this one a try later!
Answer: C
Rationale: Elevation of the backrest allows both CSF and cerebral venous
blood to drain out of the cranium. Avoid placing a client who has
undergone a craniotomy on the operative side. Avoid hip and knee flexion
because this increases intracranial pressure, and increased intracranial
pressure from edema is common in clients after cranial surgery.
, Hyperextension of the neck will reduce CSF and venous outflow from the
cranium.
nyastagmus
Give this one a try later!
involuntary eye movmenets
Anticoagulant therapy for stroke
Give this one a try later!
1. dabigatran (pradaxa)
2. enoxaparin (lovenox)
3. herapin
4. warfarin (coumadin)
Before discharging after a carotid stent placement, the patient should be taught to
report these signs and symptoms immediately
Give this one a try later!
